<!DOCTYPE html>
<html lang="zh-cn">
<head>
<meta charset="utf-8">
<title>车辆故障报修</title>
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<meta name="renderer" content="webkit">

<link rel="shortcut icon" href="../../../extends/img/favicon.ico" />
<!-- Loading Bootstrap -->
<link href="../../../extends/css/main.css" rel="stylesheet">

<!-- HTML5 shim, for IE6-8 support of HTML5 elements. All other JS at the end of file. -->
<!--[if lt IE 9]>
        <script src="../../../assets/html5shiv.min.js"></script>
        <script src="../../../assets/respond.min.js"></script>
        <![endif]-->
<script type="text/javascript">
            var require = {
                "config": {
                    "site": {
                        "name": "FastAdmin",
                        "cdnurl": "../../../",
                        "version": "1.0.0",
                        "timezone": "Asia/Shanghai",
                        "languages": {
                            "backend": "zh-cn",
                            "frontend": "zh-cn"
                        }
                    },
                    "upload": {
                        "cdnurl": "./",
                        "uploadurl": "data/upload.json",
                        "bucket": "yourbucketname",
                        "maxsize": "10mb",
                        "mimetype": "*",
                        "multipart": {
                            "policy": "eyJidWNrZXQiOiJ5b3VyYnVja2V0bmFtZSIsInNhdmUta2V5IjoiXC91cGxvYWRzXC97eWVhcn17bW9ufXtkYXl9XC97ZmlsZW1kNX17LnN1ZmZpeH0iLCJleHBpcmF0aW9uIjoxNTAwNTI2NTczLCJub3RpZnktdXJsIjoiaHR0cDpcL1wvd3d3LnlvdXJzaXRlLmNvbVwvdXB5dW5cL25vdGlmeSJ9",
                            "signature": "043eaf09c0319b1a9a11d06511bfdc4e",
                            "bucket": "yourbucketname",
                            "save-key": "/uploads/{year}{mon}{day}/{filemd5}{.suffix}",
                            "expiration": 1500526573,
                            "notify-url": "http://www.yoursite.com/upyun/notify"
                        },
                        "multiple": false
                    },
                    "modulename": "admin",
                    "controllername": "overhaulcrack",
                    "actionname": "edit",
                    "jsname": "main/js/admin/overhaulMaintenance",
                    "moduleurl": "./",
                    "language": "zh-cn",
                    "referer": null
                }
            };
        </script>
</head>
<style type="text/css">
    .control-label{
        font-size: 12px
    }
</style>

<body class="inside-header inside-aside is-dialog">
    <div id="main" role="main">
        <div class="tab-content tab-addtabs">
            <div id="content">
                <div class="row">
                    <div class="col-xs-12 col-sm-12 col-md-12 col-lg-12">
                        <div class="content">
                            <form id="edit-form" class="form-horizontal form-ajax"
                                role="form" data-toggle="validator" method="POST"
                                action="/param">
                                <div id="errtips" class="hide"></div>
                                <input type="hidden" name="id" />
                                <div class="form-group">
                                    <label class="control-label col-xs-12 col-sm-3">车号：</label>
                                    <div class="col-xs-12 col-sm-8 no-padding">
                                        <select class="form-control">
                                            <option>11222443</option>
                                            <option>11244423</option>
                                            <option>21552443</option>
                                        </select>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="control-label col-xs-12 col-sm-3">  设备名称：
                                    </label>
                                    <div class="col-xs-12 col-sm-8 no-padding">
                                        <input type="text" name="paramValue" class="form-control"
                                            placeholder="请输入设备名称" data-rule="required">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="control-label col-xs-12 col-sm-3">  规格型号：
                                    </label>
                                    <div class="col-xs-12 col-sm-8 no-padding">
                                        <input type="text" name="paramValue" class="form-control"
                                            placeholder="请输入规格型号" data-rule="required">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="control-label col-xs-12 col-sm-3">  探伤日期：
                                    </label>
                                    <div class="col-xs-12 col-sm-8 no-padding">
                                        <div class="input-group">
                                            <input type="text" id="valid-time" name="validTime" class="form-control datetimepicker"
                                               placeholder="请输入开始日期" data-rule="validTime" data-date-format="yyyy-mm-dd">
                                            <span class="input-group-addon"><i class="icon-calendar22"></i></span>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="control-label col-xs-12 col-sm-3"> 下次探伤日期：
                                    </label>
                                    <div class="col-xs-12 col-sm-8 no-padding">
                                        <div class="input-group">
                                            <input type="text" id="valid-time" name="validTime" class="form-control datetimepicker"
                                               placeholder="请输入完成日期" data-rule="validTime" data-date-format="yyyy-mm-dd">
                                            <span class="input-group-addon"><i class="icon-calendar22"></i></span>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="control-label col-xs-12 col-sm-3">  探伤原因：
                                    </label>
                                    <div class="col-xs-12 col-sm-8 no-padding">
                                        <input type="text" name="paramValue" class="form-control"
                                            placeholder="请输入探伤原因" data-rule="required">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="control-label col-xs-12 col-sm-3">  探伤单位：
                                    </label>
                                    <div class="col-xs-12 col-sm-8 no-padding">
                                        <input type="text" name="paramValue" class="form-control"
                                            placeholder="请输入探伤单位" data-rule="required">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="control-label col-xs-12 col-sm-3">  合格证编号：
                                    </label>
                                    <div class="col-xs-12 col-sm-8 no-padding">
                                        <input type="text" name="paramValue" class="form-control"
                                            placeholder="请输入合格证编号" data-rule="required">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="control-label col-xs-12 col-sm-3">  本次探伤里程：
                                    </label>
                                    <div class="col-xs-12 col-sm-8 no-padding">
                                        <input type="text" name="paramValue" class="form-control"
                                            placeholder="请输入本次探伤里程" data-rule="required">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="control-label col-xs-12 col-sm-3"> 探伤负责人 ：
                                    </label>
                                    <div class="col-xs-12 col-sm-8 no-padding">
                                        <select class="form-control">
                                            <option>张师傅</option>
                                            <option>李刚</option>
                                            <option>刘顺</option>
                                        </select>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="control-label col-xs-12 col-sm-3"> 验收人 ：
                                    </label>
                                    <div class="col-xs-12 col-sm-8 no-padding">
                                        <select class="form-control">
                                            <option>刘峰</option>
                                            <option>李刚</option>
                                            <option>刘顺</option>
                                        </select>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="control-label col-xs-12 col-sm-3"> 探伤结论 ：
                                    </label>
                                    <div class="col-xs-12 col-sm-8 no-padding">
                                        <div class="checkbox checkbox-switch">
                                            <input type="checkbox" name="isShow" data-on-text="合格"
                                                data-off-text="不合格" class="switch" value="1" checked>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="control-label col-xs-12 col-sm-3"> 处理意见 ：
                                    </label>
                                    <div class="col-xs-12 col-sm-8 no-padding">
                                         <textarea rows="5" cols="5" name="orderContent" class="form-control" placeholder="请输入处理意见"></textarea>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="control-label col-xs-12 col-sm-3"> 备注：
                                    </label>
                                    <div class="col-xs-12 col-sm-8 no-padding">
                                         <textarea rows="5" cols="5" name="orderContent" class="form-control" placeholder="请输入备注"></textarea>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="control-label col-xs-12 col-sm-3">附件：</label>
                                    <div class="col-xs-12 col-sm-8 no-padding">
                                        <input id="excelFile" name="input-b5[]" type="file" multiple placeholder="请输入以.xls,.xlsx,.txt为扩展名的附件">
                                    </div>
                                </div>
                                <div class="form-group layer-footer">
                                    <label class="control-label col-xs-12 col-sm-2"></label>
                                    <div class="col-xs-12 col-sm-8">
                                        <button type="submit"
                                            class="btn btn-success btn-embossed disabled">确定</button>
                                        <button type="reset" class="btn btn-default btn-embossed">重置</button>
                                    </div>
                                </div>
                            </form>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
    <script src="../../../assets/requirejs/require.js"
        data-main="../../../extends/js/main.js"></script>
</body>
</html>